The client with an infected leg wound that is draining purulent ...

[javeds]

The client with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite (Dakin solution) to be used in the care of the wound. The nurse would do which of the following while using this solution?
 
  1. Rinse off immediately following irrigation.
  2. Pour onto sterile sponges, and pack in wound.
  3. Let the solution run freely over normal skin tissue.
  4. Use each bottle of solution for 2 weeks before replacing.

Question 2

The nurse is reviewing the record of a 10-year-old child suspected of having Hodgkin's disease. The nurse anticipates noting which of the following characteristic manifestations documented in the assessment notes?
 
  1. Fever
  2. Malaise
  3. Painful lymph nodes in the supraclavicular area
  4. Painless and movable lymph nodes in the cervical area

[Chou]

Answer to Question 1

1

Rationale: Dakin solution is a hypochlorite solution that is used for irrigating and cleaning necrotic or purulent wounds. It cannot be used to pack purulent wounds, because the solution is inactivated by copious pus. (It can be used to pack necrotic wounds, however.) It should not come into contact with healing or normal tissue, and it should be rinsed off immediately if used for irrigation. The solution is unstable, and it is best to prepare a fresh solution for use during each dressing change.

Answer to Question 2

4

Rationale: Clinical manifestations specifically associated with Hodgkin's disease include pain-less, firm, and movable adenopathy in the cervical and supraclavicular area. Hepatosplenomegaly is also noted. Although anorexia, weight loss, fever, and malaise are associated with Hodgkin's disease, these manifestations are vague and can be seen in many disorders.

[javeds]

TYSM

[xthemafja]

Excellent